House of Love Form 

House of Love is a network of local doctors, lawyers, social workers, counselors, advisors, business persons, etc. who graciously provide their services to our clients either pro bono or at a reduced cost. Many of our clients do not qualify for a standard job at first so House of Love employs local small business owners who are willing to hire based on a JSL recommendation. 

Thank you for considering to donate your time, specialties, services - please fill out the form below so that we can connect you to our team in your city! 

Name of House of Love Applicant *
Name of House of Love Applicant
Phone *
Phone